Individual provider Active NPI

Adam Clayton Wright, MD

  • Dermatology Physician
  • Knoxville, TN
National Provider Identifier
1952693483
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
54440 Issued in TN
Practice address
6516 Kingston Pike
Knoxville, TN 37919-4825
Phone
(865) 450-9361
Fax
(865) 450-9362
NPI assigned
May 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 54440 TN Primary

Addresses

Primary practice location

6516 Kingston Pike
Knoxville, TN 37919-4825

Mailing address

Dept 888213
Knoxville, TN 37995-8213
Phone (760) 520-7996

Other identifiers 1

IdentifierTypeStateIssuer
Q024514MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726002070 TN Practitioner - Dermatology 7810143047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Tennessee, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Institute of Dermatology PLLCGroup PAC ID 7719072644, 13 clinicians

Practice addresses (Care Compare)

6516 Kingston Pike
Knoxville, TN 37919-4825
Phone (865) 450-9361

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as individual
Quality
95.63
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision94
Removal of skin lesions303
Removal of skin cancer1003
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106309MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Institute of Dermatology PLLC Dermatology CurrentSince Jul 1, 2016 Accepting new patients

Locations

6516 Kingston Pike
Knoxville, TN 37919
Phone (865) 450-6361

Dept 888213
Knoxville, TN 37995

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1952693483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888213",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958213",
            "telephone_number": "760-520-7996",
            "fax_number": "865-450-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194825",
            "telephone_number": "865-450-9361",
            "fax_number": "865-450-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ADAM",
        "middle_name": "CLAYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "54440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024514",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.